BENNETT W NELSON OD - Optometrist License in Illinois | # 047931078

BENNETT W NELSON OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931078

License Status

NOT RENEWED

Business

N

Title

OD

First Name

BENNETT

Middle

W

Last Name

NELSON

Business Name

BENNETT W NELSON OD

Original Issue Date

04/18/2005

Effective Date

04/18/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006